Management of patients with atrial tachycardia: a clinical consensus statement of the European Heart Rhythm Association (EHRA) of the ESC, endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American Heart Rhythm Society (LAHRS), and the Association for European Paediatric and Congenital Cardiology (AEPC)

EP Europace Journal

24 December 2025
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ESC Journals ARRHYTHMIAS AND DEVICE THERAPY Supraventricular Tachycardia (Non-Atrial Fibrillation)

Abstract

Abstract

Atrial tachycardias (AT) represent an increasingly recognized cause of morbidity and mortality. Over the past decade, the mechanistic understanding and therapeutic concepts guiding AT treatment have undergone rapid progress. Catheter ablation has become the most effective therapy for maintaining sinus rhythm in patients with regular AT, while mapping and ablation concepts and technologies have improved significantly. Accordingly, international cardiac electrophysiology professional societies aimed at outlining best practices on the management of regular AT, with a special focus on indications, timing, and technical aspects of AT mapping and ablation. After reviewing and discussing available evidence, including a systematic literature review and meta-analysis, an expert writing group summarized current knowledge and practice and has proposed strategies in the here outlined 10-Point Plan for SMART-AT care (Standardized Management and Ablation Roadmap for Treatment of Patients with Atrial Tachycardia).

Contributors

Christian Meyer
Christian Meyer

Author

Evangelical Hospital Duesseldorf Duesseldorf , Germany

Ann-Kathrin Kahle
Ann-Kathrin Kahle

Author

Evangelical Hospital Duesseldorf Duesseldorf , Germany

Antonio Frontera
Antonio Frontera

Author

Great Metropolitan Hospital Niguarda Milan , Italy

Pierre Jais
Pierre Jais

Author

American Hospital of Paris Neuilly sur Seine , France

Peter M Kistler
Peter M Kistler

Author

The Alfred Hospital Melbourne , Australia

Helmut Pürerfellner
Helmut Pürerfellner

Author

Ordensklinikum Linz Elisabethinen Linz , Austria

Masateru Takigawa
Masateru Takigawa

Author

Tokyo Medical University Hachioji Medical Center Tokyo , Japan

Tom Wong
Tom Wong

Author

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